Send to

Choose Destination
Muscle Nerve. 2017 Oct;56(4):679-683. doi: 10.1002/mus.25699. Epub 2017 Jul 7.

The value transformation of health care: Impact on neuromuscular and electrodiagnostic medicine.

Author information

Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
American Association of Neuromuscular & Electrodiagnostic Medicine, Rochester, Minnesota, USA.
Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota, 55905, USA.


Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679-683, 2017.


MACRA; MIPS, QPP; alternative payment models; value-based care; value-based payment

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center